Organization
FULLERTON DRAKE MEDICAL CENTER
Active
Organization
FULLERTON DRAKE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK K GERBER MD (PRESIDENT)
(773) 278-0334
Entity
Organization
Contact information
Practice address
3518 W FULLERTON AVE, CHICAGO, IL 60647-2418
(773) 278-0334
Mailing address
3518 W FULLERTON AVE, CHICAGO, IL 60647-2418
(773) 278-0334
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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